Health maintenance organizations: serving L.A. County; ranked by number of Southern California members.EXECUTIVE SUMMARY THE 25 largest HMO HMO health maintenance organization. HMO n. A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial, plans count a combined 9.6 million members in the Southern California Southern California, also colloquially known as SoCal, is the southern portion of the U.S. state of California. Centered on the cities of Los Angeles and San Diego, Southern California is home to nearly 24 million people and is the nation's second most populated region, region, defined as Los Angeles Los Angeles (lôs ăn`jələs, lŏs, ăn`jəlēz'), city (1990 pop. 3,485,398), seat of Los Angeles co., S Calif.; inc. 1850. , Orange, Ventura Ventura (vĕnt  `rə), city (1990 pop. 92,575), seat of Ventura co., SW Calif., on the Pacific coast in a farm and oil region; inc. 1866. ,
San Bernardino San Bernardino, city, United StatesSan Bernardino (săn bûr'nədē`nō), city (1990 pop. 164,164), seat of San Bernardino co., S Calif., at the foot of the San Bernardino Mts.; inc. 1854. . Riverside Riverside. 1 City (1990 pop. 226,505), seat of Riverside co., S Calif.; inc. 1883. One of the fastest growing U.S. cities in the late 20th cent., it is famous for its orange industry. , Imperial and San Diego San Diego (săn dēā`gō), city (1990 pop. 1,110,549), seat of San Diego co., S Calif., on San Diego Bay; inc. 1850. San Diego includes the unincorporated communities of La Jolla and Spring Valley. Coronado is across the bay. counties. This figure is down slightly from the previous year. Kaiser Permanente Kaiser Permanente is an integrated managed care organization, based in Oakland, California, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney R. Garfield. remained the largest provider in the region with 3.3 million members, giving it 38 percent of its membership in Southern California. The provider is unique because it also owns hospital facilities. It operates 11 hospitals and 130 medical offices in the region. L.A. County accounts for nearly half of Kaiser's Southern California membership. L.A. Care Health Plan is the only non-commercial A non-commercial enterprise is work that values other considerations above and beyond that of making a profit. It differs from a non-profit enterprise in that seeking a profit is a part of their business, just not the main part. plan to be included, in order to prevent double counting Double counting may refer to:
Long Beach-based Universal Care also saw an increase in membership. The plan reported 190,000 members in filings with the California California (kăl'ĭfôr`nyə), most populous state in the United States, located in the Far West; bordered by Oregon (N), Nevada and, across the Colorado River, Arizona (E), Mexico (S), and the Pacific Ocean (W). Department of Managed Care, up 40,000 over the previous year. No. 3 PacifiCare/Secure Horizons reported a decline of 150,000 members in Southern California, all of which took place outside of L.A. County. The plan reported 1.2 million members in the region, of which 250,000 were located in the county. THE PACESETTER KAISER FOUNDATION The mission of the Kaiser Foundation is to assist individuals and communities in preventing and reducing the harm associated with problem substance use and addictive behaviours. External links
Antonym: dec. . KAISER Foundation Health Plan Inc. remains the largest commercial health maintenance organization in Southern California with 3.2 million members. That's up 162,000 members, or 5 percent, from the previous year. The enrollment increase in Southern California accounted for more than half of the Oakland-based non-profit health plan's membership increase over the past 12 months. Kaiser has continued to implement its $4 billion KP HealthConnect HealthConnect is Australia’s planned system of electronic health records. The aim of HealthConnect is to improve quality and safety in health care by ensuring important clinical information is available in a high standard, when and where it is needed. initiative. The program brings medical records online for all of its patients, despite criticism that the software's implementation may put some patient's safety at risk if the records can't be accessed. The organization has replaced two chief information officers over the past six months as a result. Kaiser Permanente Baldwin Baldwin, cities, United States Baldwin. 1 Uninc. city (1990 pop. 22,719), Nassau co., SE N.Y., on the south shore of Long Island, on Baldwin Bay; settled 1640s. A fishing center and summer resort, it has varied manufactures. Hills became one of two offices to fully implement the software when it did so in late 2006. Members and medical providers at the facility have access to their complete health record 24 hours a day. Kaiser has numerous facilities undergoing major renovations or new construction as required by state law passed after the Northridge Earthquake The Northridge earthquake occurred on January 17, 1994 at 4:31 AM Pacific Standard Time in the city of Los Angeles, California. The earthquake had a "strong" moment magnitude of 6. in 1994. Projects include the West L.A. campus, the L.A. Medical Center, Downey Downey, city (1990 pop. 91,444), Los Angeles co., S Calif., a residential and industrial suburb between Los Angeles and Long Beach; inc. 1957. Its many manufactures include metal products, rubber goods, communications equipment, and dairy products. Hospital and Panorama City. Opened in 1945, the health plan grew out of industrial health care programs for Kaiser steel Kaiser Steel was an American corporation, whose assets included a former steelmaking plant, located in Fontana, California, and an iron ore mine at nearby Eagle Mountain, California. It was founded by Henry J. workers during the 1930s and '40s. Kaiser reported systemwide revenues of $34.4 billion for 2006, up $3.3 billion from 2005.
HEALTH MAINTENANCE ORGANIZATIONS
Serving L.A. Cunty; ranked by number of Southern California members
Rank HMO (Ranking in 2006) Enrollment (1)
* name (current/year ago)
* HMO * So. California (2)
* address * L.A. County
* companywide
1 Kaiser Foundation Health Plan Inc. 3,287/3,125.1
393 E. Walnut St. 1,531.2/1,498.8
Pasadena 91188 8,658.3/8,445.2
2 Blue Cross of California 2,000.0 (3) /NA
21555 Oxnard St. NA/NA
Woodland Hills 91367 NA/NA
3 PacifiCare/Secure Horizons 1,200/1,350
5995 Plaza Drive 250/250
Cypress 90630 3,100/3,300
4 Health Net of California 890/812
21281 Burbank Blvd. 381/331
Woodland Hills 91367 1,600/1,600
5 L.A. Care Health Plan (4) 800/765
555 W. Fifth St., 29th Floor 800/765
Los Angeles 90013 800/765
6 Blue Shield of California 492/499.5
6701 Center Drive West 216.5/221.3
Los Angeles 90045 772.7/763.4
7 CIGNA Healthcare of California 413/303.3
400 N. Brand Blvd. 170.7/302.3
Glendale 91203 9,300/NA
8 Aetna Health of California Inc. 285.6/200.2
2625 Shadelands Dr. NA/NA
Walnut Creek 94598 15,400/14,590
9 Universal Care Inc. 190.4/159.7 (3)
1600 E. Hill St. NA/NA
Long Beach 90755 190.4/159.7 (3)
10 Great-West Healthcare of Calif. Inc. 39.8/38
655 N. Central Ave., Suite 1900 19.7/19
Glendale 91203 54/59
Rank California Revenues PPO
Affiliates (in millions)
(current/year ago) * companywide
* hospitals (2006/2005)
* physicians * % spent on
medical care
1 30/30 $34,400/$31,100 Dual Choice
10,587/9,211 93%
2 NA/NA NA/NA NA
NA/NA NA
3 323/235 NA/14,000 PacifiCare
47,000/31,000 85
4 310/268 10,400/11,900 Health Net Life
55,000/38,000 84.9 Insurance Co.
5 85/82 1,011.3/946 N/A
9,650/9,450 NA
6 307/279 7,854.2/7,668 Shield Spectrum
29,262/29,515 83.1 PPO Plan
7 295/302 NA/NA Connecticut
46,693/46,654 NA General Life
Insurance Co.
8 310/270 25,100/22,500 Aetna Open Choice
43,682/46,182 NA PPO
9 NA/NA NA/NA none
NA/NA NA
10 250/250 NA/NA Great-West
26,000/26,000 NA Healthcare PPO
Rank Profile Structure
* year established * plan model
* headquarters * status
* enrollment phone * parent company
1 1945 group
Oakland non-profit
(800) 464-4000 Kaiser Permanente
2 1986 contractual
Thousand Oaks profit
(800) 999-3643 WellPoint Health Networks Inc.
3 1978 contractual
Cypress profit
(800) 624-8822 United Healthcare
4 1979 contractual
Woodland Hills profit
(800) 522-0088 Health Net Inc.
5 1997 mixed
Los Angeles non-profit
(888) 452-5437 same
6 1990 mixed
San Francisco non-profit
(800) 499-3899 NA
7 1929 contractual
Philadelphia profit
(800) 832-3211 Cigna Corp.
8 1981 mixed
Hartford, Conn. profit
(800) 323-9930 Aetna Inc.
9 1983 mixed
Signal Hill profit
(800) 635-6668 NA
10 1994 contractual
Glendale profit
(818) 409-0880 Great-West Life & Annuity Insurance Co.
Rank Top Local Executive
* name
* Top Local Executive
* title
* phone
1 Dr. Benjamin K. Chu
president, So. Cal. region
(800) 464-4000
2 Brian A. Sassi
president
(800) 999-3643
3 David Hansen
ceo
(714) 952-1121
4 Stephen Lynch
president, Reg. Health Plans
(818) 676-6775
5 Howard A. Kahn
ceo
(213) 694-1250
6 Jim Elliot
v.p., Southern California
(415) 229-5000
7 Christopher De Rosa
president, gen. manager
(818) 500-6687
8 Curtis Terry
reg. head, Health Care Deliv.
(925) 948-4700
9 Jay B. Davis
president
(562) 424-6200
10 Susan Hallett
regional president
(818) 539-9000
NA--Not Available
Note: The information on this list was provided by representatives of
the health plans themselves and the California Department of Managed
Care. HMOs are ranked by current commercial enrollment. L.A. Care
Health Plan was the only non-commercial health plan to be included in
order to prevent double counting of enrollment in government programs.
To the best of our knowledge, this information is accurate as of press
time. While every effort is made to ensure the accuracy and
thoroughness of the list, omissions and typographical errors sometimes
occur. Please send corrections or additions on company letterhead to
the Research Department, Los Angeles Business Journal, 5700 Wilshire
Blvd., Suite 170, Los Angeles 90036. [c] 2007 Los Angeles Business
Journal. This list may not be reprinted in whole or in part without
prior written permission from the editor. Reprints are available from
Wright's Reprints, (877) 652-5295.
(1) In thousands.
(2) Southern California is defined as Los Angeles, Orange, Ventura, San
Bernardino, Riverside, Imperial and San Diego counties.
(3) Business Journal estimate.
(4) Enrollment figures for Medi-Cal, Healthy Families, California Kids,
Healthy Kids and In-Home Supportive Services.
Researched by David Nusbaum
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